Dr George R Dupuy V, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Edina, Minnesota. His current practice location is
7401 Metro Blvd Ste 250, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 470-2770.
Dr George R Dupuy V is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457857989.
Healthcare Provider's Profile
Full Name | Dr George R Dupuy V |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 7401 Metro Blvd Ste 250, Edina, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457857989
- Provider Enumeration Date: 04/03/2018
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456600881
- Enrollment ID: I20191231002162
Medical Identifiers
Medical identifiers for Dr George R Dupuy V such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457857989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904010432 (Virginia) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr George R Dupuy V allows following entities to bill medicare on his behalf.
Entity Name | Affinity Psychological Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr George R Dupuy V is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr George R Dupuy V, LICSW 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 Ph: (540) 742-0094 | Dr George R Dupuy V, LICSW 7401 Metro Blvd Ste 250, Edina, MN 55439-3062 Ph: (612) 470-2770 |
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